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www.talkwandsworth.nhs .uk 020 3513 6264 Talk Wandsworth Professionals Referral Form Please email to [email protected] Ethnicity: Does the patient speak English? Is a translator necessary? Other – please indicate if person is: Perinatal Ex/current Military Blind/visually impaired Deaf Does the client have any additional Long term Conditions? Client’s Name: Date of Birth: NHS Number: Address: Gender: Postcode: Contact number: Can messages be left on this number? Referring GP/service name: Address Date of referral: Reason for referral: Please highlight any risks (to self or others): Current Medication (+dose):

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Page 1: search3.openobjects.com€¦ · Web viewThe psychological therapies we provide include: Guided Self-Help – Four, one to one, sessions with a Psychological Well Being Practitioner

www.talkwandsworth.nhs.uk 020 3513 6264

Talk Wandsworth Professionals Referral Form

Please email to [email protected]

Ethnicity:

Does the patient speak English?

Is a translator necessary?

Other – please indicate if person is:

Perinatal Ex/current Military Blind/visually impaired Deaf

Does the client have any additional Long term Conditions?

Client’s Name:

Date of Birth: NHS Number:

Address: Gender:

Postcode:

Contact number: Can messages be left on this number?

Referring GP/service name: Address

Date of referral:

Reason for referral:

Please highlight any risks (to self or others):

Current Medication (+dose):

Page 2: search3.openobjects.com€¦ · Web viewThe psychological therapies we provide include: Guided Self-Help – Four, one to one, sessions with a Psychological Well Being Practitioner

www.talkwandsworth.nhs.uk 020 3513 6264

For the ClientInformation Sheet

Talk Wandsworth provides wellbeing support, advice and effective short-term psychological therapy treatments, and employment support, for people with problems such as depression and anxiety.

Please ensure that you complete all 5 Questionnaire sections before your telephone screening.

If you have any queries please call the service on 020 3513 6264

IMPORTANT

If you have any queries please call on the above number between 8 a.m. and 6 p.m. weekdays. If your call is not answered or you would like to telephone outside of these hours, please leave a message for us to return your call. You can also email us on [email protected]

What will happen next?

We will offer you a telephone screening appointment with a Psychological Wellbeing Practitioner. The call will last approximately 30 minutes. You will be asked some questions to help us get a better understanding of your difficulties and the effect they have on your life. During the call we will provide you with some service information and discuss some of the treatment options available. If you need an interpreter or other assistance, please let us know.

Short Questionnaires

You will have completed one questionnaire with your GP (PHQ-9), and should have been given four more to complete in your own time (PHQ-9, WSAS, GAD-7, Core 10, Phobia Scales). It will be helpful if you can complete these just before your screening appointment.

Feedback

After giving some thought to the information you have given us we will recommend the treatments that we think will be most helpful and effective. Please be aware that this may involve directing you towards services outside of the NHS.

The psychological therapies we provide include:

Guided Self-Help – Four, one to one, sessions with a Psychological Well Being Practitioner (PWP). Based on self-help Cognitive Behavioural Therapy workbooks, these sessions aim to provide a structured approach to coping with your problems.

Page 3: search3.openobjects.com€¦ · Web viewThe psychological therapies we provide include: Guided Self-Help – Four, one to one, sessions with a Psychological Well Being Practitioner

www.talkwandsworth.nhs.uk 020 3513 6264

Structured Workshops and Groups - There are various workshops and groups on offer which focus on issues such as anger management, mindfulness, mood management, anxiety, and low self-esteem. These take place at various venues in Wandsworth, and are led by experienced clinicians from our team.

Individual therapy - Sessions with a Clinical/Counselling Psychologist or trainee, or a Cognitive Behaviour Therapist are offered at various GP surgeries in Wandsworth. Therapy via an audio-visual link (like Skype) is also available from our partner organisation, Big White Wall.

Couple therapy – Sessions with you and your partner with a therapist who has specialist training in couple work.

Employment Support – Our dedicated employment specialists help people with mild to moderate mental health problems find employment and training opportunities, or support them in retaining existing employment.

Appointments

You will need to allow between 30 minutes to an hour for your telephone screening appointment. You should be in a private space so that you can speak freely. If you wish to cancel or change your appointment please let us know as soon as possible, so that we can offer your appointment someone else.

Confidentiality The information you provide us with is shared only with those people involved in your care, (this will include your GP). Your information will be kept on a secure NHS database. The only time we discuss the things you have told us with anyone else is in the event that there is a risk of harm to yourself or someone else. In these circumstances we are required by law to contact other professionals.

Please be aware that Talk Wandsworth is not a crisis service. In the case of an emergency, you should contact your GP or local A&E department. You can also access telephone support via Samaritans - 08457 90 90 90 (open 24 hours daily, fully confidential & non-interventional) or via the Mental Health Support Line 0800 028 8000 (5pm to 9am Mon-Fri, 24 hrs weekends & Bank Holidays).

We welcome feedback about the service. You can leave comments on the South West London and St Georges website http://www.swlstg-tr.nhs.uk/contact-us/complaints

Or go to Care Opinion https://www.careopinion.org.uk/services/rqy and leave feedback under South West London and St Georges NHS Mental Health Trust

We also have a service website www.talkwandsworth.nhs.uk where you can find out more about the services we offer